Mary Jo Hanigan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20614 Issued in NE

Practice address

6910 Pacific St
Ste 100
Omaha, NE 68106-1044

Phone

(402) 504-3707

Fax

(402) 504-3714

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Nebraska College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geode Health of the Midwest LLCGroup PAC ID 8022504406, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geode Health of the Midwest LLC

  • Psychiatry Physician
  • Lincoln, NE
  • NPI 1285511170
  Medicare reassignment Care Compare group NPD
• Mary Jo Hanigan M.D., P.C.

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1770801789
  Medicare reassignment Authorized official
• Family Enrichment Inc

  • Social Worker
  • Omaha, NE
  • NPI 1164582169
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1306906326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 PACIFIC ST",
            "address_2": "STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061044",
            "telephone_number": "402-504-3707",
            "fax_number": "402-504-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 PACIFIC ST",
            "address_2": "STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061044",
            "telephone_number": "402-504-3707",
            "fax_number": "402-504-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIGAN",
        "first_name": "MARY JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "20614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics East Inc
• Hanger Prosthetics & Orthotics East Inc
• Hanger Prosthetics & Orthotics East, Inc
• Kaitlyn Hangren
• Laurence J Hanigan, MD
• Heidi Hanisch, OD
• Michael J Hanish, P.T.
• Jeanice Hankins
• Jordan H Hankins, MD
• Katherine Stasiak Hankins, MD

• Psychiatry Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.